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General NPI Number Information
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NPI Number | 1235698689
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Entity Type | Individual
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Provider Name | SARA E HEINEMANN PSYD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1730 ROGERS PL APT 34
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City | BURBANK
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State | CA
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Zip | 91504-3699
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Country | US
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Telephone | 760-288-1165
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 ROGERS PL APT 34
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City | BURBANK
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State | CA
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Zip | 91504-3699
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Country | US
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Telephone | 760-288-1165
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 006003
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License Number State | AZ
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